Health Care Providers' Advice on Lifestyle Modification for Older Adults |
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| Institution: | 1. Department of Social and Preventive Medicine, Center for Public Health, Medical University of Vienna, Vienna, Austria;2. Cambridge Centre for Sport and Exercise Sciences, Anglia Ruskin University, Cambridge, United Kingdom;3. Institute of Outcomes Research, Center for Medical Statistics, Informatics and Intelligent Systems, Medical University of Vienna, Vienna, Austria;4. Department of Behavioral Science and Health, University College London, London, United Kingdom;5. Department of Health Management, The Third Xiangya Hospital, Central South University, Changsha, Hunan, China;6. Division of Public Health Sciences, Department of Surgery, Washington University School of Medicine, St Louis, MO;7. Program in Physical Therapy, Washington University School of Medicine, St Louis, MO;8. Department of Epidemiology, Center for Public Health, Medical University of Vienna, Vienna, Austria;9. Channing Division of Network Medicine, Department of Medicine, Brigham and Women''s Hospital, Harvard Medical School, Boston, MA;10. Cancer Epidemiology and Prevention Research, Alberta Health Services, Calgary, Canada;11. Departments of Oncology and Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Canada;1. Department of Cardiology, University Hospital Alvaro Cunqueiro, Vigo, Spain;2. Department of Cardiology, University Hospital of Leon, Spain;3. Department of Cardiology, University Hospital Juan Ramón Jiménez, Huelva, Spain;4. Department of Geriatric Medicine, University Hospital Alvaro Cunqueiro, Vigo, Spain;5. Directive Staff, University Hospital, Orense, Spain;6. Hospital Admission Department, University Hospital Alvaro Cunqueiro, Vigo, Spain;1. Department of Rehabilitation Medicine, The First Affiliated Hospital of Nanjing Medical University, Jiangsu, China;2. The Second Clinical Medical School, Nanjing University of Chinese Medicine, Jiangsu, China;3. The Teaching and Research Department of Statistics, Nanjing Medical University, Jiangsu, China;4. Rehabilitation Center, The Second Affiliated Hospital of HaiNan Medical University, Hainan, China;5. The Rehabilitation Department, The First Affiliated Hospital of Henan University of Traditional Chinese Medicine, Henan, China;6. The Acupuncture Rehabilitation Department, Jiangsu Province Hospital of Traditional Chinese Medicine, Jiangsu, China;7. Rehabilitation Center, The Second Affiliated Hospital of Heilongjiang University of Chinese Medicine, Heilongjiang, China;8. The Rehabilitation Department, Guangdong Provincial Traditional Chinese Medicine Hospital, Guangdong, China;9. The Rehabilitation Department, Tongji Medical College Huazhong University of Science & Technology, Hubei, China;10. The Neurological Rehabilitation Department, Shanghai University of Traditional Chinese Medicine, Shanghai, China;11. Rehabilitation Center, Xuzhou Central Hospital, Jiangsu, China;12. The Rehabilitation Department, The Affiliated Hospital of Xuzhou Medical University, Jiangsu, China;13. The Rehabilitation Department, Tianjin Medical University General Hospital, Tianjin, China;14. The Neurology Department, Nanjing Hospital of Traditional Chinese Medicine, Jiangsu, China;15. The Rehabilitation Department, Hubei Provincial Hospital of Integrated Chinese & Western Medicine, Hubei, China;p. The Rehabilitation Department, Dongguan Kanghua Hospital, Guangdong, China;q. School of Basic Medical Sciences, Nanjing Medical University, Jiangsu, China;1. US Department of Veterans Affairs Medical Center, Providence, RI;2. Department of Health Services, Policy and Practice, Brown University School of Public Health, Providence, RI;3. Portland State University, Portland, OR;1. Department of General Practice and Elderly Care Medicine, Amsterdam Public Health, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands;2. Department of Epidemiology and Biostatistics, Amsterdam Public Health, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands;3. National Institute for Health and Welfare, Helsinki, Finland;4. Department of Economics and Law, HTW Berlin University of Applied Sciences, Berlin, Germany;5. LUCAS & Centre for Sociological Research, KU Leuven, Belgium;6. Faculty of Medicine, University of Iceland, Reykjavik, Iceland;7. Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy |
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| Abstract: | ObjectivesTo describe the pattern of health care providers' advice on lifestyle modification to older adults, and identify correlates of receiving such advice.DesignCross-sectional survey.Setting and participantsData from the National Health and Nutrition Examination Survey study from 2007-2016 on adults ≥65 years (n = 3758) were analyzed.MethodsWe estimated the weighted prevalence and correlates of receiving advice on the following lifestyle modifications: (1) increase physical activity, (2) reduce fat/calories, (3) control/lose weight, and (4) a combination of control/lose weight and physical activity. Data were analyzed according to level of comorbidity (number of chronic conditions including high blood pressure, high blood cholesterol, type 2 diabetes mellitus, coronary heart disease, and arthritis) and body mass index (BMI).ResultsPhysical activity was the most widely prescribed lifestyle modification, reported by 15.7% of older adults free of chronic conditions and 28.9%, 35.4%, and 52.6% of older adults with 1, 2, and ≥3 comorbidities. Advice on reducing fat/calories was reported by 9.2%, 18.5%, 26.3%, and 40.9% of older adults with 0, 1, 2, and ≥3 comorbidities, respectively, and advice on weight loss/control was reported by 6.5%, 19.1%, 20.8%, and 37.5%, respectively. The combination of advice on weight loss/control and physical activity was least commonly reported: 5.1%, 13.5%, 16.6%, and 32.0%, respectively. Overall, lifestyle modifications were more frequently advised to older adults who were overweight, obese, or Hispanic.Conclusions and implicationsIn the United States, lifestyle modifications are not routinely recommended to older adults, particularly those free of chronic conditions, presenting a missed opportunity for chronic disease prevention and management. Among those advised to lose or manage weight, concurrent advice to increase physical activity is not consistently provided. |
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| Keywords: | Older adults NHANES lifestyle advice chronic illness |
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